Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,423.00 / $18,483.00	Facility		$1,539.00	$6,423.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.88 / $416.59 / $2,179.60	Professional		$323.88	$416.59	$2,179.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.65 / $516.45 / $1,054.03	Professional		$393.65	$516.45	$1,054.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,848.26	Facility		$67.90	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $277.76 / $402.35 / $958.80	Professional		$277.76	$402.35	$958.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $481.34 / $900.00 / $2,226.34	Facility		$481.34	$900.00	$2,226.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.15 / $509.78 / $1,126.76	Professional		$358.15	$509.78	$1,126.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $365.97 / $484.05 / $692.28	Professional		$365.97	$484.05	$692.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.90 / $527.57 / $952.14	Professional		$401.90	$527.57	$952.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,392.67 / $3,590.15 / $16,394.00	Facility		$2,392.67	$3,590.15	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,035.76 / $3,100.80 / $3,695.33	Professional		$3,035.76	$3,100.80	$3,695.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $619.09	Professional		$32.34	$32.34	$619.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $405.42 / $535.86 / $802.52	Facility		$405.42	$535.86	$802.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $361.63 / $543.94 / $1,126.76	Professional		$361.63	$543.94	$1,126.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,352.39 / $1,352.39 / $1,352.39	Professional		$1,352.39	$1,352.39	$1,352.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $365.97 / $512.36 / $658.75	Professional		$365.97	$512.36	$658.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $3,982.00 / $12,135.00	Facility		$1,800.00	$3,982.00	$12,135.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $439.88 / $1,116.27	Professional		$322.00	$439.88	$1,116.27